Individual provider Active NPI

Josie A Caruana, P.A.

  • Surgical Physician Assistant
  • Orchard Park, NY
National Provider Identifier
1245380997
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
006973 Issued in NY
Practice address
310 Sterling Drive
Suite 105
Orchard Park, NY 14127-1569
Phone
(716) 675-7730
Fax
(716) 675-7735
NPI assigned
Jan 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 006973 NY Primary

Addresses

Primary practice location

310 Sterling Drive
Suite 105
Orchard Park, NY 14127-1569

Mailing address

565 Abbott Road
Mercy Hospital Dept of Medicine
Buffalo, NY 14220
Phone (716) 826-7000

Other identifiers 1

IdentifierTypeStateIssuer
01994687MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1245380997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 ABBOTT ROAD",
            "address_2": "MERCY HOSPITAL DEPT OF MEDICINE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14220",
            "telephone_number": "716-826-7000",
            "fax_number": "716-828-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 STERLING DRIVE",
            "address_2": "SUITE 105",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271569",
            "telephone_number": "716-675-7730",
            "fax_number": "716-675-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUANA",
        "first_name": "JOSIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "006973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01994687",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.